患者,男,80岁,诊断“右外囊出血”入院。予以脑出血常规处理。在入院72小时内用20%甘露醇250ml×(?)次及50%葡萄糖50ml×2次。第4日患者出现少尿,查尿常规除蛋白(±)外,余均正常,血尿素氮12.9mmol/L,肌酐289μmol/L,钾3.9mmol/L。即停用甘露醇改用速尿降颅内压并按急性肾功能不全处理,因出现喷射性呕吐及血压升高,再加用20%甘 Patient, male, 80 years old, diagnosed “right outer capsule bleeding” admitted. To be routine treatment of cerebral hemorrhage. Within 72 hours of admission with 20% mannitol 250ml × (?) Times and 50% glucose 50ml × 2 times. On the fourth day, the patients presented with oliguria. All the urine samples were normal except for protein (±). Blood urea nitrogen was 12.9mmol / L, creatinine was 289μmol / L, potassium was 3.9mmol / L. That disable the use of mannitol to furosemide to reduce intracranial pressure and acute renal insufficiency, due to jet vomiting and blood pressure, plus 20% Gan